Endoscopic aspects of choledochoceles

Hepatogastroenterology. 1996 Jan-Feb;43(7):143-6.

Abstract

Background/aims: To date, since so little information has been published on the incidence of choledochoceles, we undertook a retrospective study of the incidence of choledochoceles.

Materials and methods: Out of 9,850 patients who had been submitted to ERCP investigation in our department, the medical histories of the patients found to have choledochoceles were analysed.

Results: Ten out of the 9,850 had a choledochocele, 3 of which were symptomatic, 3 questionably symptomatic and 4 asymptomatic. In 6 patients with symptomatic or questionably symptomatic choledochoceles, endoscopic treatment in the form of endoscopic papillotomy was carried out. Following this intervention, 4 of the patients became symptom-free.

Conclusions: Smaller choledochoceles tend to be asymptomatic while the larger are symptomatic. The diagnostic method of choice in ERCP.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cholangiopancreatography, Endoscopic Retrograde*
  • Choledochal Cyst / diagnostic imaging*
  • Choledochal Cyst / surgery
  • Female
  • Humans
  • Male
  • Middle Aged
  • Retrospective Studies